Efficacy and safety of intraoperative radiofrequency ablation in management of hepatocellular carcinoma
Joint Authors
Majdi, Muhammad
Rizq, Hisham Abd al-Fattah
Rida, Mahmud
Alaa, Taha
al-Shafii, M. Muhammad
Ghunaym, Mahmud
Saed, Tariq
Source
Journal of the Egyptian Society of Parasitology
Issue
Vol. 38, Issue 3 (31 Dec. 2008), pp.715-726, 12 p.
Publisher
The Egyptian Society of Parasitology
Publication Date
2008-12-31
Country of Publication
Egypt
No. of Pages
12
Main Subjects
Topics
Abstract EN
The present study is a prospective one involving 15 consecutive patients with hepatocellular carcinoma (HCC) from January 2003 to December 2005.
Clinical and laboratory examinations, abdominal ultrasonography & spiral CT scanning were performed.
All patients were subjected to intraoperative radiofrequency ablation of HCC after confirmation by core biopsy.
Enhanced dynamic CT was done at 1 month postoperative and every 3 months during follow-up period.
Males were 12 with age of 41-69 year (53.2 + 7.4).
Underlying cirrhosis due to viral hepatitis was in all, and HCV was the most common (75 %), and patients (85 %) were categorized in Child B classification.
Serum alpha feto protein was above 400 ng / ml in 60 %.
12 patients had unifocal HCC (nodules mean diameter of less than 3 cm in 6, 3 to 5 cm in 4, and more than 5 cm in 2), and 3 patients had multifocal HCC (nodules mean number of less than 3 cm in 2 and 3 to 5 cm in 1).
The mean number of RF application session to achieve complete necrosis in patients with were 1.52 (unifocal) & 2.49 (multifocal HCC).
The mean hospital stay was 14.9 days, with neither mortality nor major complications, but Minor complications in 30 %.
After one month, complete ablation of HCC nodules was achieved in 10 patients with reduction of alpha fetoprotein in 11 patients.
2 / 5 with partial ablation were multifocal nodules.
Total mortality during follow-up in late post-operative period (1 year) was 6 out of 15 patients.
5 of them are the patients with partial ablation.
3 patients out of 9 patients developed evidence of local recurrence detected by enhanced dynamic CT & raising of serum alpha fetoprotein.
American Psychological Association (APA)
Rizq, Hisham Abd al-Fattah& Majdi, Muhammad& Rida, Mahmud& Alaa, Taha& al-Shafii, M. Muhammad& Ghunaym, Mahmud…[et al.]. 2008. Efficacy and safety of intraoperative radiofrequency ablation in management of hepatocellular carcinoma. Journal of the Egyptian Society of Parasitology،Vol. 38, no. 3, pp.715-726.
https://search.emarefa.net/detail/BIM-49667
Modern Language Association (MLA)
Rizq, Hisham Abd al-Fattah…[et al.]. Efficacy and safety of intraoperative radiofrequency ablation in management of hepatocellular carcinoma. Journal of the Egyptian Society of Parasitology Vol. 38, no. 3 (Dec. 2008), pp.715-726.
https://search.emarefa.net/detail/BIM-49667
American Medical Association (AMA)
Rizq, Hisham Abd al-Fattah& Majdi, Muhammad& Rida, Mahmud& Alaa, Taha& al-Shafii, M. Muhammad& Ghunaym, Mahmud…[et al.]. Efficacy and safety of intraoperative radiofrequency ablation in management of hepatocellular carcinoma. Journal of the Egyptian Society of Parasitology. 2008. Vol. 38, no. 3, pp.715-726.
https://search.emarefa.net/detail/BIM-49667
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 725-726
Record ID
BIM-49667